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HomeMy WebLinkAboutF2019-0237 - Permits1. City of Newport Beach - Building Division a"1 100 Civic Center Drive, Newport Beach, CA 92660 .. Permit Counter Phone (949)644-3288 Job Address: 407 IRIS AVE NB Inspector Area: -FIRE!"> Owner: DDCFRJ INVESTMENTS Address: 4686 ONTARIO MILLS PKY ONTARIO CA. 91764 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR - LA HABRA: CA 90631 Phone Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group:- B Added/New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Flood Zone: X Bldg Sprinklers: Y II F 2���� 0���� 1���� 9��� 0���� 2 3 7 II Description: SFR DELTA 1, ADD (10) HEADS (X2017-3604) Legal Description: CORONA DEL MAR LOT 7 BILK 335(AND NELY1/2 LOT 5 BLK335 FIRE Permit: F2019-0237 Project No: 0699-2019 Inspection Requests Phone (949)644-3255 Contractor: FIREPROOF FIRE PROTECTION Architect: FEES Address: 1101 KINGSTON DR Address: Construction Valuation: LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lia Con State Lic: 876004 Engineer. - $4.00 Lic Expire: 04130/2020 Address:. Planning Counter Review:. Bus Lia BT30040107 Building Extehtion Fee : Lic Exp Date: 08131/2019 - - Phone:. State Lic: Worker's Compensation Insurance Designer: CASEY MONTY Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Policy No: MOWC002750 $0.00 LA HABRA CA 90631 Expire: 0211512020 Phone: 866-457-3473 Issued Date: 04/18/2019 Special Conditions: $0.00 Setback- Front: Building Permit Fee :.. $240.00 Rear: Left: $446.00 Plan Check Fee: Right: $446.00 PROCESSED. BY: ZONING APPROVAL: FIRE APPROVAL: .OTHER DEPARTMENT:. o a. ace e o a c. ma • o a o c o o o c • o PLAN CHECKED BY:: APPROVAL TO ISSUE:yr� cm o c ao° m• o c a c o PERMIT EaYP1RCS MPO O*Y6 ArTE•R ISSUANCE OR LAST VALID INSPECTION o • a a. c o •o• bo •• o ° o•e co FEES Construction Valuation: $1,000.00 Building PC Fee: - $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $4.00 Building Overtime PC Fee: $0.00 Planning Counter Review:. $0.00. Building Extehtion Fee : $0.00 Planning Zoning PC Fee: $0.00 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: - - $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee :.. $240.00 TOTAL FEE : $446.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $446.00 PROCESSED. BY: ZONING APPROVAL: FIRE APPROVAL: .OTHER DEPARTMENT:. o a. ace e o a c. ma • o a o c o o o c • o PLAN CHECKED BY:: APPROVAL TO ISSUE:yr� cm o c ao° m• o c a c o PERMIT EaYP1RCS MPO O*Y6 ArTE•R ISSUANCE OR LAST VALID INSPECTION o • a a. c o •o• bo •• o ° o•e co r. r. -- )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct,alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The. Contractors' State License Law does riot only to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codea my license is in full force nd effect. icense Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS( �Oy 00 ), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the erfgpmance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier "nn {policy number area., Date is of Agentrnone s certify that, in the performance of the w for whicf. h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensasion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of I hereby affirm under penalty of perjury that thele-isla construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county t e`nTre—r t�he above -identified property for inspection purposes. ��``�� f� - Rianature of Pronertv Owner or Authorized Aaent�� \C_. ` Print Property Owner's or Authorized Agent's Name vV— `-G.-•�F�\Isat ACTION DATE BY a a.L. rtviv air wlrrrusnrva.c vvr r rr wuc ve F REGULATIONSFVWG1 OFTiThS40ANN PERMIT EXPIRED ._— AQM LE 1403. i • ❑ ISUBMfTTEDAS$ESTOgttl041Fle4TfOI.TO- PERMfTCANC€LIED Z7 ❑ EPA PERMfTEXT€ND€D ❑ AI ASBESTOS PERMITRNAL ` PROPOSED DEMOLIPPlY,DON.S N-..APP.t.ABL.EO . CERTIFICATE OF OCCUPANCYtSSDSIGNATURE: ' ' •' D • ° ' •